Ngaba unesifo seswekile (uhlobo lwesibini lweswekile)? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi edibeneyo ebizwa ngokuba yiGlipizide kunye neMetformin. Eli liyeza elibalulekileyo elinikwa abantu abaninzi abanesifo seswekile kwilizwe lethu kwaye linceda ukulawula amanqanaba eswekile egazini. Ngoko ke namhlanje, masithethe ngeli yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa, ngendlela elula onokuyiqonda.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, le yindibaniselwano yamayeza amabini. Oko kukuthi, iqulethe zombini iGlipizide kunye neMetformin kwipilisi enye. Xa zidibene, ezi zimbini zinceda ekunciphiseni amanqanaba eswekile emzimbeni wakho ngeendlela ezahlukeneyo.
- I-Glipizide: Le yiklasi yamayeza abizwa ngokuba yi-sulfonylureas. Isebenza ngokuvuselela i-pancreas yakho ukuba ivelise i-hormone engaphezulu ye-insulin efunekayo emzimbeni wakho.
- I-Metformin: Oku kusebenza kakhulu ngokunciphisa ukuveliswa kweswekile ngokungeyomfuneko sisibindi sakho. Ukongeza, kunceda iiseli zomzimba ukuba ziphendule ngcono kwi-insulin (iphucula uvakalelo lwe-insulin).
Eyona nto ibalulekileyo kukuba eli yeza lodwa alanelanga. Iziphumo ezilungileyo zinokufumaneka kuphela xa eli yeza lisetyenziswa kunye nokutya okufanelekileyo kunye nokuzilolonga njengoko ugqirha ecebisile .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukuba ugqirha wakho azi kakuhle imeko yakho yempilo ngaphambi kokuba akunike eli yeza. Ngoko ke, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngazo.
| Imeko okanye umkhwa wakho | Kutheni ufanele uxelele? |
|---|---|
| Isifo sezintso okanye sesibindi | Ngenxa yokuba iyeza lisuswa emzimbeni ngezi zitho, ukuba ukusebenza kwazo kuyaphazamiseka, umthamo weyeza unokufuneka ulungiswe. |
| Isifo sentliziyo | Kufuneka kuqatshelwe ngokukodwa xa usebenzisa eli yeza kwiimeko ezithile zentliziyo. |
| Umkhwa wokusela rhoqo | Ukudibanisa utywala kunye nale mithi kwandisa umngcipheko wesifo esibi esibizwa ngokuba yi-lactic acidosis. |
| I-ketoacidosis yesifo seswekile | Le yingxaki enkulu yesifo seswekile, kwaye eli yeza alifanelekanga. |
| I-hemoglobin ephantsi egazini (i-Anemia) | Kubalulekile ukuba uqaphele i-anemia, njengoko eli yeza linokuchaphazela ukufunxwa kwe-vitamin B12. |
| Ukukhulelwa okanye ukuzama ukukhulelwa | Eli yeza alicetyiswa ngexesha lokukhulelwa, kwaye kufuneka ezinye iindlela zonyango. |
| Ukuba ngumama oncancisayo | Ufanele uxoxe nogqirha wakho ukuba ingaba iyeza lingadluliselwa na kumntwana wakho ngobisi lwebele. |
| Ukunganyamezelani namanye amayeza, amayeza e-sulfa, okanye ukutya | Kubaluleke kakhulu ukuze ukhuseleke ukuba usixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile. |
Ndingayisebenzisa njani le mithi?
Oku kulula kakhulu, kodwa kufuneka kulandelwe ngokuchanekileyo.
- Le pilisi mayithathwe xa kutyiwa . Musa ukuyithatha ungenanto esiswini.
- Ginya ipilisi yonke ngeglasi yamanzi.
- Soloko usela idosi echazwe ngugqirha wakho, ngexesha elichanekileyo elichazwe ngugqirha wakho. Musa ukutshintsha ixesha okanye idosi njengoko uthanda.
- Ukuba uneminyaka engaphezu kwama-65 ubudala, ugqirha wakho unokukunika idosi esezantsi kancinci.
- Ukuba ucinga ukuba ngempazamo usele amayeza amaninzi kakhulu: Ukuba ucinga njalo, musa ukulibazisa.Yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (i-ETU) okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
- Ukuba uphoswe yidosi: Yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Amanye amayeza anokusebenza kunye nale mayeza
Isilumkiso: Kuyingozi kakhulu ukuthatha eli yeza kunye neentlobo ezithile zezinto 'ezingafaniyo' ezifakwe emzimbeni ngaphambi kovavanyo olufana ne-X-ray, i-CT scan, i-MRI, kunye neyeza lesifo sentliziyo i-Dofetilide. Ukuba uza kwenza uvavanyo olunjalo, xelela ugqirha wakho kwangaphambili.
Ukongeza, amanye amayeza amaninzi anokusebenzisana nalo mayeza. Umzekelo:
- I-Aspirin kunye nezinye ii-NSAIDs (i-aspirin)
- Amanye amayeza oxinzelelo lwegazi kunye nesifo sentliziyo
- I-Diuretics (okanye 'iipilisi zamanzi')
- Iintlobo zeeSteroids
- Iintlobo zeehomoni, kuquka iipilisi zokulawula ukuzalwa
- Ezinye iifungicides kunye nee-antibiotics
- Amanye amayeza okugula ngengqondo (ii-MAOI)
- Amayeza ezifo ze-thyroid
Olu luhlu aluphelelanga. Ngoko ke nika ugqirha wakho uluhlu olucacileyo lwamayeza onke, iivithamini, amayeza esintu, kunye nezongezo ozithathayo. Kwakhona, mxelele ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uziqwalasele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Yiya kwiikliniki ngamaxesha amiselweyo njengoko ugqirha wakho emisele kwaye ujonge imeko yakho. Uvavanyo lwegazi olubizwa ngokuba yi- HbA1C luya kwenziwa rhoqo emva kweenyanga ezi-3-6 ukuze kubonwe ukuba iswekile yakho ilawulwa kakuhle kangakanani na.
- Funda ukuvavanya iswekile yakho yegazi: Funda indlela yokusebenzisa i-glucometer ekhaya. Yazi iimpawu ze-hypoglycemia kunye ne-hyperglycemia, kunye nento omawuyenze ukuba ziyavela.
- Gcina iswekile kufutshane: Soloko ugcina into efana netyhubhu yeswekile, itofi, okanye ithebhulethi yeswekile ebhegini okanye epokothweni yakho ukuba inqanaba leswekile yakho liyehla ngequbuliso.
- Musa ukutsiba izidlo: Yitya ngexesha elifanelekileyo. Ukutsiba izidlo kunokubangela ukuba amanqanaba eswekile egazini lakho ehle ngendlela eyingozi.
- Lumka xa uselangeni: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci xa lusenelanga (photosensitivity). Ngoko sebenzisa i-sunscreen , nxiba impahla egquma umzimba wakho, kwaye unxibe umnqwazi xa uphuma elangeni.
- Lumka ngeevithamini: Ukusetyenziswa kwale mithi ixesha elide kunokubangela amanqanaba aphantsi evithamini B12 kunye ne-folic acid kwabanye abantu. Ngoko ke, kubalulekile ukutya ukutya okunesondlo, kwaye ukuba kuyimfuneko, uthathe iivithamini njengoko ugqirha wakho eyalele.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zazo zinzima, ezinye ziqhelekile.
| Uhlobo lwesiphumo esibi | Iimpawu kunye nento omawuyenze |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Kufuneka unyango olukhawulezileyo. |
| I-Lactic acidosis (Inqanaba eliphezulu le-lactic acid) | Iintlungu zemisipha, ukuqaqamba kwesisu, ukuphefumla kancinci, ukudinwa kakhulu. Le yimeko engxamisekileyo kwaye ifuna ukulaliswa esibhedlele ngokukhawuleza. |
| I-Hemolytic anemia | Ubuthathaka obungaqhelekanga, isiyezi, ubunzima bokuphefumla, umchamo omnyama, ukutyheli kolusu okanye amehlo. |
| Iimpawu zokunqongophala kwevithamini B12 | Intlungu emalungeni, ukungaziva, ubuthathaka bemisipha, isiyezi, ukulahlekelwa yinkumbulo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuphazamiseka kwesisu, isicaphucaphu | Ezi zidla ngokuncipha ngokuthatha amayeza kunye nokutya. |
| Urhudo | Oku kungenzeka xa uqala ukuthatha iyeza. Ukuba liyaqhubeka, xelela ugqirha wakho. |
Umyalezo Wokuya Ekhaya
- Eli yeza linceda kuphela ekulawuleni isifo seswekile. Ukutya okufanelekileyo kunye nokuzilolonga kubalulekile.
- Khumbula ukusela iyeza kunye nokutya, ngexesha elifanayo yonke imihla.
- Qaphela iimpawu ze-hypoglycemia (isiyezi, ukubila, i-palpitations). Soloko ugcina iswekile okanye iqhekeza leswiti kufutshane.
- Ungalibali ukuxelela ugqirha wakho ngamanye amayeza owasebenzisayo, ingakumbi amayeza okudambisa iintlungu.
- Ukuba ngempazamo usele amayeza amaninzi okanye ufumana isiphumo esibi kakhulu, yiya kwi-ETU ngoko nangoko.
- Eli yeza lelakho wedwa. Ungaze unike abanye abantu iyeza lakho.
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